Organization · Type 2 NPI

Russell A. Boatwright, D.m.d., P.c.

General Practice Dentistry · Conway, SC

NPI number 1114091600 Active

Practice location

1603 10th Ave
Conway, SC 29526-4111

Call (843) 248-2705 Map

Fax (843) 248-4202

Mailing address

PO Box 1077
Conway, SC 29528-1077

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2775 (SC)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1114091600

Russell A. Boatwright, D.m.d., P.c.'s National Provider Identifier is 1114091600, issued on Nov 17, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Conway, SC. The record was last updated on Aug 22, 2020.